OSAGE NATION PRT
NPI 1710240825
Substance Abuse Rehabilitation Facility in Pawhuska, OK

NPI Status: Active since June 22, 2012

Contact Information

1011 GRANDVIEW AVE
PAWHUSKA, OK
ZIP 74056
Phone: (918) 287-5420
Fax: (918) 287-3721

Get Directions Write a Review

  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 37D0916626
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 06-25-2026

About OSAGE NATION PRT

This page provides the complete NPI Profile along with additional information for Osage Nation Prt, a provider established in Pawhuska, Oklahoma operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1710240825 assigned on June 2012. The practitioner's primary taxonomy code is 324500000X with license number 109 (OK). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. Louis Gray I Na (Coordinator)

NPI
1710240825
Provider Name
OSAGE NATION PRT
Entity Type
Organization
Location Address
1011 GRANDVIEW AVE PAWHUSKA, OK 74056
Location Phone
(918) 287-5420
Location Fax
(918) 287-3721
Mailing Address
5525 HARVARD DR BARTLESVILLE, OK 74006
Mailing Phone
(918) 287-5420
Mailing Fax
(918) 287-3721
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-22-2012
Last Update Date
06-22-2012
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
109
License State
OK
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. LOUIS GRAY I NA

Authorized Official Title
COORDINATOR
Authorized Official Phone
(918) 287-5420

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D0916626
Facility Type
Other
Certificate Effective Date
June 26, 2024
Certificate Expiration Date
June 25, 2026
Laboratory Director
MANON TAYLOR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Osage Nation Prt to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for OSAGE NATION PRT

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710240825
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272044084
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 4 + 4 + 0 + 8 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1710240825 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

MR. SAMMY CLARENCE LOOKOUT

Substance Abuse Rehabilitation Facility

1011 GRANDVIEW AVE
PAWHUSKA, OK
ZIP 74056

(918) 287-5417

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710240825, enumerated as an "organization" on June 22, 2012.

The provider is located at 1011 GRANDVIEW AVE PAWHUSKA, OK 74056 and the phone number is (918) 287-5420.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.